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Annual Report on Health Care for Children and Youth in the United States: National Estimates of Cost, Utilization and Expenditures for Children With Mental Health Conditions

Abstract Objective To examine national trends in hospital utilization, costs, and expenditures for children with mental health conditions. Methods The analyses of children aged 1 to 17 are based on AHRQ's 2006 and 2011 Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS)... Full description

Journal Title: Academic pediatrics 2015, Vol.15 (1), p.19-35
Main Author: Torio, Celeste Marie, PhD, MPH
Other Authors: Encinosa, William, PhD , Berdahl, Terceira, PhD , McCormick, Marie C., MD, ScD , Simpson, Lisa A., MB, BCh, MPH
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 1876-2859
Link: https://www.ncbi.nlm.nih.gov/pubmed/25444653
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recordid: cdi_proquest_miscellaneous_1639978547
title: Annual Report on Health Care for Children and Youth in the United States: National Estimates of Cost, Utilization and Expenditures for Children With Mental Health Conditions
format: Article
creator:
  • Torio, Celeste Marie, PhD, MPH
  • Encinosa, William, PhD
  • Berdahl, Terceira, PhD
  • McCormick, Marie C., MD, ScD
  • Simpson, Lisa A., MB, BCh, MPH
subjects:
  • Adolescent
  • Analysis
  • Child
  • Child, Preschool
  • Children
  • Emergency Service, Hospital - economics
  • Emergency Service, Hospital - utilization
  • Health Care Costs
  • Health care industry
  • health care utilization
  • Health Expenditures
  • Health Services - economics
  • Health Services - utilization
  • Hospitalization - economics
  • Hospitalization - statistics & numerical data
  • Humans
  • Infant
  • Medicaid
  • Medical care
  • Medical care, Cost of
  • Mental Disorders - economics
  • Mental Disorders - therapy
  • mental health
  • Mental Health Services - economics
  • Mental Health Services - utilization
  • national estimates
  • Neonatal and Perinatal Medicine
  • Patient Acceptance of Health Care
  • Pediatrics
  • Psychological aspects
  • Public health
  • Quality management
  • Self-Injurious Behavior - economics
  • Self-Injurious Behavior - therapy
  • Social service
  • Substance-Related Disorders - economics
  • Substance-Related Disorders - therapy
  • trends in hospitalization
  • United States
  • Utilization
ispartof: Academic pediatrics, 2015, Vol.15 (1), p.19-35
description: Abstract Objective To examine national trends in hospital utilization, costs, and expenditures for children with mental health conditions. Methods The analyses of children aged 1 to 17 are based on AHRQ's 2006 and 2011 Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) and Nationwide Emergency Department Sample (NEDS) databases, and on AHRQ's pooled 2006 to 2011 Medical Expenditure Panel Survey (MEPS). All estimates are nationally representative, and standard errors account for the complex survey designs. Results Although overall all-cause children's hospitalizations did not increase between 2006 and 2011, hospitalizations for all listed mental health conditions increased by nearly 50% among children aged 10 to 14 years, and by 21% for emergency department (ED) visits. Behavioral disorders experienced a shift in underlying patterns between 2006 and 2011: inpatient stays for alcohol-related disorders declined by 44%, but ED visits increased by 34% for substance-related disorders and by 71% for impulse control disorders. Inpatient visits for suicide, suicidal ideation, and self-injury increased by 104% for children ages 1 to 17 years, and by 151% for children ages 10 to 14 years during this period. A total of $11.6 billion was spent on hospital visits for mental health during this period. Medicaid covered half of the inpatient visits, but with 50% to 30% longer length of stays in 2006 and 2011, respectively, than private payers. Medicaid's overall share of the ED visits increased from 45% in 2006 to 53% in 2011. Conclusions These alarming trends highlight the renewed need for research on mental health care for children. This study also provides a baseline for evaluating the impact of the Affordable Care Act and the mental health parity legislation on mental health utilization and expenditures for children.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1876-2859
fulltext: fulltext
issn:
  • 1876-2859
  • 1876-2867
url: Link


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titleAnnual Report on Health Care for Children and Youth in the United States: National Estimates of Cost, Utilization and Expenditures for Children With Mental Health Conditions
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creatorTorio, Celeste Marie, PhD, MPH ; Encinosa, William, PhD ; Berdahl, Terceira, PhD ; McCormick, Marie C., MD, ScD ; Simpson, Lisa A., MB, BCh, MPH
creatorcontribTorio, Celeste Marie, PhD, MPH ; Encinosa, William, PhD ; Berdahl, Terceira, PhD ; McCormick, Marie C., MD, ScD ; Simpson, Lisa A., MB, BCh, MPH
descriptionAbstract Objective To examine national trends in hospital utilization, costs, and expenditures for children with mental health conditions. Methods The analyses of children aged 1 to 17 are based on AHRQ's 2006 and 2011 Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) and Nationwide Emergency Department Sample (NEDS) databases, and on AHRQ's pooled 2006 to 2011 Medical Expenditure Panel Survey (MEPS). All estimates are nationally representative, and standard errors account for the complex survey designs. Results Although overall all-cause children's hospitalizations did not increase between 2006 and 2011, hospitalizations for all listed mental health conditions increased by nearly 50% among children aged 10 to 14 years, and by 21% for emergency department (ED) visits. Behavioral disorders experienced a shift in underlying patterns between 2006 and 2011: inpatient stays for alcohol-related disorders declined by 44%, but ED visits increased by 34% for substance-related disorders and by 71% for impulse control disorders. Inpatient visits for suicide, suicidal ideation, and self-injury increased by 104% for children ages 1 to 17 years, and by 151% for children ages 10 to 14 years during this period. A total of $11.6 billion was spent on hospital visits for mental health during this period. Medicaid covered half of the inpatient visits, but with 50% to 30% longer length of stays in 2006 and 2011, respectively, than private payers. Medicaid's overall share of the ED visits increased from 45% in 2006 to 53% in 2011. Conclusions These alarming trends highlight the renewed need for research on mental health care for children. This study also provides a baseline for evaluating the impact of the Affordable Care Act and the mental health parity legislation on mental health utilization and expenditures for children.
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subjectAdolescent ; Analysis ; Child ; Child, Preschool ; Children ; Emergency Service, Hospital - economics ; Emergency Service, Hospital - utilization ; Health Care Costs ; Health care industry ; health care utilization ; Health Expenditures ; Health Services - economics ; Health Services - utilization ; Hospitalization - economics ; Hospitalization - statistics & numerical data ; Humans ; Infant ; Medicaid ; Medical care ; Medical care, Cost of ; Mental Disorders - economics ; Mental Disorders - therapy ; mental health ; Mental Health Services - economics ; Mental Health Services - utilization ; national estimates ; Neonatal and Perinatal Medicine ; Patient Acceptance of Health Care ; Pediatrics ; Psychological aspects ; Public health ; Quality management ; Self-Injurious Behavior - economics ; Self-Injurious Behavior - therapy ; Social service ; Substance-Related Disorders - economics ; Substance-Related Disorders - therapy ; trends in hospitalization ; United States ; Utilization
ispartofAcademic pediatrics, 2015, Vol.15 (1), p.19-35
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2Berdahl, Terceira, PhD
3McCormick, Marie C., MD, ScD
4Simpson, Lisa A., MB, BCh, MPH
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descriptionAbstract Objective To examine national trends in hospital utilization, costs, and expenditures for children with mental health conditions. Methods The analyses of children aged 1 to 17 are based on AHRQ's 2006 and 2011 Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) and Nationwide Emergency Department Sample (NEDS) databases, and on AHRQ's pooled 2006 to 2011 Medical Expenditure Panel Survey (MEPS). All estimates are nationally representative, and standard errors account for the complex survey designs. Results Although overall all-cause children's hospitalizations did not increase between 2006 and 2011, hospitalizations for all listed mental health conditions increased by nearly 50% among children aged 10 to 14 years, and by 21% for emergency department (ED) visits. Behavioral disorders experienced a shift in underlying patterns between 2006 and 2011: inpatient stays for alcohol-related disorders declined by 44%, but ED visits increased by 34% for substance-related disorders and by 71% for impulse control disorders. Inpatient visits for suicide, suicidal ideation, and self-injury increased by 104% for children ages 1 to 17 years, and by 151% for children ages 10 to 14 years during this period. A total of $11.6 billion was spent on hospital visits for mental health during this period. Medicaid covered half of the inpatient visits, but with 50% to 30% longer length of stays in 2006 and 2011, respectively, than private payers. Medicaid's overall share of the ED visits increased from 45% in 2006 to 53% in 2011. Conclusions These alarming trends highlight the renewed need for research on mental health care for children. This study also provides a baseline for evaluating the impact of the Affordable Care Act and the mental health parity legislation on mental health utilization and expenditures for children.
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1Analysis
2Child
3Child, Preschool
4Children
5Emergency Service, Hospital - economics
6Emergency Service, Hospital - utilization
7Health Care Costs
8Health care industry
9health care utilization
10Health Expenditures
11Health Services - economics
12Health Services - utilization
13Hospitalization - economics
14Hospitalization - statistics & numerical data
15Humans
16Infant
17Medicaid
18Medical care
19Medical care, Cost of
20Mental Disorders - economics
21Mental Disorders - therapy
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23Mental Health Services - economics
24Mental Health Services - utilization
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26Neonatal and Perinatal Medicine
27Patient Acceptance of Health Care
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29Psychological aspects
30Public health
31Quality management
32Self-Injurious Behavior - economics
33Self-Injurious Behavior - therapy
34Social service
35Substance-Related Disorders - economics
36Substance-Related Disorders - therapy
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38United States
39Utilization
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titleAnnual Report on Health Care for Children and Youth in the United States: National Estimates of Cost, Utilization and Expenditures for Children With Mental Health Conditions
authorTorio, Celeste Marie, PhD, MPH ; Encinosa, William, PhD ; Berdahl, Terceira, PhD ; McCormick, Marie C., MD, ScD ; Simpson, Lisa A., MB, BCh, MPH
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atitleAnnual Report on Health Care for Children and Youth in the United States: National Estimates of Cost, Utilization and Expenditures for Children With Mental Health Conditions
jtitleAcademic pediatrics
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date2015
risdate2015
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issue1
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pages19-35
issn1876-2859
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abstractAbstract Objective To examine national trends in hospital utilization, costs, and expenditures for children with mental health conditions. Methods The analyses of children aged 1 to 17 are based on AHRQ's 2006 and 2011 Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) and Nationwide Emergency Department Sample (NEDS) databases, and on AHRQ's pooled 2006 to 2011 Medical Expenditure Panel Survey (MEPS). All estimates are nationally representative, and standard errors account for the complex survey designs. Results Although overall all-cause children's hospitalizations did not increase between 2006 and 2011, hospitalizations for all listed mental health conditions increased by nearly 50% among children aged 10 to 14 years, and by 21% for emergency department (ED) visits. Behavioral disorders experienced a shift in underlying patterns between 2006 and 2011: inpatient stays for alcohol-related disorders declined by 44%, but ED visits increased by 34% for substance-related disorders and by 71% for impulse control disorders. Inpatient visits for suicide, suicidal ideation, and self-injury increased by 104% for children ages 1 to 17 years, and by 151% for children ages 10 to 14 years during this period. A total of $11.6 billion was spent on hospital visits for mental health during this period. Medicaid covered half of the inpatient visits, but with 50% to 30% longer length of stays in 2006 and 2011, respectively, than private payers. Medicaid's overall share of the ED visits increased from 45% in 2006 to 53% in 2011. Conclusions These alarming trends highlight the renewed need for research on mental health care for children. This study also provides a baseline for evaluating the impact of the Affordable Care Act and the mental health parity legislation on mental health utilization and expenditures for children.
copUnited States
pubElsevier Inc
pmid25444653
doi10.1016/j.acap.2014.07.007